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10030 HOLLY DR 2016-01-01 MF Import
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10030 HOLLY DR 2016-01-01 MF Import
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Last modified
2/18/2017 10:15:35 AM
Creation date
2/18/2017 10:15:18 AM
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Template:
Address Document
Street Name
HOLLY DR
Street Number
10030
Imported From Microfiche
Yes
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Iror 08/1/2013 11 :2� "C63 P 002/OG2 <br /> � • <br /> � Sy � S- ) <br /> ���t�r� a�����ca��rE�r� <br /> Bl:'LQ(tdG/�ECHkf�ICAL/PLUI1/BIf�G/SIGN/SPR1t�KLER/DEfilfOLtTf01�1 <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 Cetlar St . Everetl WA 98201 425-257-8810 FAX 425-257-8857 vmr�everethva org <br /> APPLICATIONS ARE ACCEPTFO FROIA 8 Aln TO:PM <br /> SITGFDO ESS: P OVENTYTA%p Pn f i <br /> , - �- Ib t�o SsSo oib3t�0 V � <br /> LEGALlOr cowcOnsbuc9en S�pA PIdV;WtliviSiGn LCI 1J� (pitY.h eCpy C!IOn9legal CeScriD��on) <br /> OWNER p � �'Ql� 1�1����P h —'_ P�onrlE-muil v1�i� � .�� � ' 6 �l'� ( <br /> �.����:. � ' � p ��r,isi�i�aio �u:e�S -t-F �.:, f9 �t��' 20 `1 <br /> . � <br /> APPLICANT: Owner Ownefsn7em �COntraper CommCIOf;Agent Tenam�R..np��..ee.mn.<�ca,io•�narm.�omee.nn�m�,�.-e <br /> — — _ _ �.�,.�.. <br /> CONTRACTOR �aS-�" C� _.y �-ZC'.� L 8 I L:c.it� J 1 W W���L .�^C COE Bu, L�c N �—j 5 <br /> .�coress ��11r5 North CreeKPa�kwa SOut�h, 51[G106 Bo[hell, WA 98011 .m�� �I � l=�t'�S�LJC:�f�11r0.�2-(�!� '��'� <br /> TENANi6U51NESSNAME u^TSCTFOR�E��MI�T �'(�IIV�C{ � <br /> � '�c k, �t, a#�s��v',��.��.cr,-t <br /> �'�one�E-mail � ��� � <br /> BUILDIk�s R�RMIT RPPLlCAFi6k CONTRAC7 PRICE OF WORK� �9 s <br /> Ex'�sling Uso ot Building [A7 SOURCE <br /> Proposetl Use o(6udtling Gas E�eNiq_._ Olncr <br /> Building lypr _Singlo Family _�uplea Tawnhouso Idutti-Family _Commerual <br /> 7ype of project. New Addition Rc Ocl�ftepair__T L Sign___Sprinklcr Oemohtmn C�ange ol Use <br /> DESCRIPTION OF W ORK(oda:aona�xveco o.ovm000n mc cnc���. <br /> ,�e�,� �' F 1�P� �C�e ��(/J �0.y �(' Y �l�c�.('p � <br /> MEC6iAF➢ICRL PERkiIT APPLICATIOtd PLUNPBIfdG PERMI7 fLPPLICRTiO�d <br /> Typc o�P�OfocC _Nnw_Addn _AIICraUon_Repalr 7ype ol Pro�ecC _Now_4Ctln _Alm�ullan_Rupalr <br /> ShowNumGe� C)o/OrfY/c5 S�awNumDci(NJalliitutt•5 <br /> � NC-air handlinq unils Tailel <br /> i Forced alr s stems BalhtuD <br /> Gas piping Lavato was�bas�N <br /> Water heatcr Showcr <br /> Gas(feploco Kifchen sinA 8 di;posal <br /> Gas mn0o pishwashm <br /> Clolhes d cr Clotnes washer � <br /> Rnnqc hood W�(Cr�ca�a <br /> - i Ex�au;t!an Smk(sem:e/baUmo �etc) <br /> i Hcat pum Back�low prevontcr <br /> Unit heatar Unnn! <br /> ❑mlef Orinkmp Faunlam <br /> Rclriqmalion Floor tlrain <br /> � Woodstovo Grcasc tra <br /> Ductin I RCof Oteins <br /> Othcr tdetlical Gas � <br /> 8PRlKY.LEFY / SUPPRE$SIOh! Sl'STEMP otncr. � : <br /> � NumSer ol Me�d. Olher �� <br /> r� <br /> �n�rn�ywNyReU�umrt��nn]nmmneCN:nppL[albnu���now��cianoL-hela�een�corrt[laipmnsn�>olroweanae�ainm<esoovem�nOtndMoeoiwon..+',�ec��z:ce � <br /> ..�t�wprp�cr>porJ'itJnemmorno� TneOmninp0}eonrmlCoep c�p�e:,�nolopi�en�honrylo�o�nlearcenea':naprovrslona•lnYo��uf�alcorkcnl;ewrepWa�npconslroc�a� .L: <br /> TPnI l nm uJ11�.o�uVU�y��a ownor o�Ini<p�OppRy lo pn11o'm 11e wc��b!whcb uptiGUliot If mo0e�n01 CcmDl�x9�I�C Slob C011NC,oq I ew 1B 2)f1[W d�a ICS IOOP W4C ����4".= <br /> � il''•', <br /> ��� �� t,a� 3 '��� <br /> / uthorlxe0 Agent Slgnolure Oate (Rcvisatl6R0i7) � <br /> F�`�`+ <br /> ��� <br /> a�� <br /> !"�xc <br /> h—', <br />
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